| Dependents Dental Center Of Howard P. Dambrose, Dds, Inc | |
|
10715 Tierrasanta Blvd Ste C San Diego CA 92124-2610 | |
| (858) 278-6444 | |
| (858) 279-6444 |
| Full Name | Dependents Dental Center Of Howard P. Dambrose, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10715 Tierrasanta Blvd, San Diego, California |
| Authorized Official Name and Position | Howard Parker Dambrose (PRESIDENT) |
| Authorized Official Contact | 8582786444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dependents Dental Center Of Howard P. Dambrose, Dds, Inc 10715 Tierrasanta Blvd Ste C San Diego CA 92124-2610 Ph: (858) 278-6444 | Dependents Dental Center Of Howard P. Dambrose, Dds, Inc 10715 Tierrasanta Blvd Ste C San Diego CA 92124-2610 Ph: (858) 278-6444 |
| NPI Number | 1659374304 |
|---|---|
| Provider Enumeration Date | 05/24/2005 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659374304 | NPI | - | NPPES |
| 000753449 | Other | CA | TRICARE-TDP (UCCI) |
| 37409 | Other | CA | DELTA DENTAL |
| 37409 | Other | CA | INSURANCE CARRIERS |
| B37409-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37409 (California) | Primary |
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